1. Consultant Outcomes Publication
Anieakan Assangha, NHS Choices
12 May 2015

2. The story so far
Bristol public inquiry report
2001
Named hospital cardiac surgery mortality publication
2005
Individual cardiac surgeon data publication
2013
2014/15
Publication of consultant outcomes data from 10 specialties, linked from NHS Choices to specialty association websites
Publication of consultant outcomes data from 12 specialties on NHS Choices and MyNHS
Consultant directory launched on NHS Choices
2007
NHS Choices launch
MyNHS launch
Has the publication of cardiac surgery outcome data been associated with changes in practice in northwest England: an analysis of patients undergoing CABG surgery under 30 surgeons over eight years

3. MyNHS (www.nhs.uk/mynhs) NHS Choices (www.nhs.uk)
Comprehensive general health and social care information and data about conditions, treatments and services
Aimed at those with direct or indirect health or care needs in England
Vision to transform NHS Choices
A single place where health and care organisations and the public can compare the performance of services
Aimed at informed patients and service users, providers, commissioners
Led by Department of Health and partners
into a modern digital service that is user-centred, outcomes-focused and creates value and impact for the health and care system

4. NHS Choices Audience
NHS Choices is Europe’s largest health site receiving and average of 42 million visits per month
NHS Choices presentation is primary focussed on users on choice journey/ information seeking. For example, 400,000 visits per month to Hospital departments and services pages
The site (which is a Beta site and therefore by definition a test site which will evolve following feedback) as a whole,   

5. My NHS Audience 133,000 consultant searches 19/11/14 to 15/02/15
Dec 2014
Jan 2015
133,000 consultant searches 19/11/14 to 15/02/15

6. Principles of presentation
Tried and tested mode of presentation (Kings Fund research, Choices user testing)
Allows audience to easily access, understand and compare complex information
Ability to refer people onto the primary publication easily – embedded links, links at bottom of page

7. Choice audience – information categories

8. Choice user journey
Information on choice and consultants is available for users
A user looking for a consultant using our on site directory
A user looking for a consultant using google -  would be directed to  
A user looking for information on a specific specialty e.g.

9. What users want to know
Users were presented with a scenario which involved a hypothetical referral to see a consultant. Broadly, prioritised by number of mentions, here is what they would like to know if making a choice:
More mentions
Qualifications/where they studied/trained
Proximity/location/where they practise
Patient experience/feedback
Experience (number of procedures performed, years practising)
Track record/success rates
Role/speciality
Waiting times
Fitness to practice (any disciplinary issues)
Gender
Photo (want to see)
Biog
Hospital rating/reputation of institution
Fewer
mentions
Mentioned by individual users: Consultant name, languages spoken, areas of interest, performance in context (comparison), personal interests, surgery times, contact details, case studies 1 2 3 4 5 6 7 8 9 10 11
Title
Proximity/location/Where they practise
Qualifications/where they studied/trained
Experience (inc number of procedures performed, years practising)
Patient experience/feedback
Track record/success rates
Waiting times
Role/speciality
Hospital rating/Reputation of hospital
Fitness to practice
Photo
Biog
Consultant name
Language spoken
Areas of interest
To be able to compare
Personal interests
Surgery times
Contact details
Case studies
Gender

10. Public and patient participation and website feedback
Three main categories:
Requests for further information on published data ‘Would like to see data on whether procedure was emergency or elective’
Requests for more specialties ‘Would like to see data about non-surgical consultant outcomes’
Functionality/ general queries ‘Would like detailed information about when new scorecards will be published; not just coming soon’
Additional data topics Would like to see data about complaints made by patient, relative or advocate
Would like to see data on whether procedure was emergency or elective
Would like to see PROMs - whether the patient believes the procedure has benefitted them
Would like to see same level of information on MyNHS as speciality websites
Would like to see data about type of procedure/surgery
Would like to see time to discharge from hospital
Would like to see 2 week re-admittance rates
Would like to see incontinence and erectile function rates post surgery
Complexity of operations
Would like to see data about number of misdiagnoses
Would like to see rate of all adverse outcomes including incomplete removals or recurrence of the cancer
Would like to see averages for alternative treatments
New scorecards Would like to see data about ophthalmic consultants
Would like to see data on spinal surgical outcomes
Would like to see data about gynaecology to support patient choice
Would like detailed information about when new scorecards will be published - not just "coming soon"
Would like to see data about angioplasty
Would like to see data about non-surgical consultant outcomes
Would like to see data about neo-natal consultants
Would like to see data about prostatectomies
Would like to see data about foot operations
Independent sector Does data include independent sector and if so, how is this data captured? Does the data only account for NHS activity only or does it include PMI or self-pay activity?
Mortality How does this data convey whether patients have chosen to die with dignity in hospitals under care of surgeon?
Consultant search Unable to find consultant by name
Unable to find data by location and name
Location search and name search do not yield the same results
Would like location search to display consultants working in a particular hopsital only
Indicator description Would like to understand whether the consultant performed the procedure or whether they oversaw other individuals who carried out the procedure
Missing consultants If consultant has chosen not to have their data displayed, this should be indicated on the site
Additional professionals Would like to see data about registrars, locums and hospital grade physicians included

11. Consultant profile
Users expect to see a Consultant CV/profile page – something that appears comprehensive, authoritative and reassuring
“Area of text explaining who they are, what they've done, background info, specialty. Hobbies and interests.”
“Picture if they were willing.”
“Text explaining career path.”
User stumbled across UCLH’s profile page for Dr Johan Witt in the symptom scenario. This type of profile page received fairly positive feedback:
“Something like the BACP website.”
“Photo, biog describing himself.”
‘Find a therapist’ on the BACP website, powered by: